Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY DAVID TIDWELL, DMD
ActiveDR. LARRY DAVID TIDWELL, DMD is a Dentist healthcare provider located in NEWBERG, Oregon. NPI 1902905730 is currently active in the NPPES registry. Verify at CMS.
Dentist · NEWBERG, OR
Registration Details
- NPI Number
- 1902905730
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2006 (19.92114192144 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D5668 (OR)
Practice Information
- Address
-
102 NORTH RIVER STREETNEWBERG, OR, 97132Browse OR providers · Browse ZIP 97132
- Phone
- 5035382888
- Fax
- 5035281255
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in NEWBERG, OR
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT CARL WILDE | DMD | 1710097514 |
| NAVID O NEWPORT | DDS | 1851481238 |
| DR. RUSSELL ALLEN BIRD | DMD | 1386802049 |
| DR. JENNIFER M MCLEOD | DMD | 1740590900 |
| DR. TOCHUKWU CHINWENDU ONWUACHUSI-OKEKE | DDS | 1134461627 |
| DR. ARTHUR GUTNIK | DMD | 1992228076 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.